Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nspire Healthcare Kendall during CMS and state inspections, most recent first.
Improper medication storage was observed in two medication rooms. In one room, an expired emergency drug kit was found, and in the other, the refrigerator held insulin while the thermometer read 52 degrees F even though the log documented 38 degrees F. The DON stated the refrigerators had been defrosted overnight and the thermometer had not regulated, while the facility policy required refrigerated meds to be kept at 36-46 degrees F.
Food items were found improperly stored and labeled in kitchen and nourishment areas, including opened, undated, and unlabeled items such as apple juice, coffee, bread, apple slices, and an unidentified white substance on top of an ice machine. Dietary staff were also observed preparing food without required beard guards, despite the facility policy requiring hair restraints, including beard restraints, in food prep and service areas.
Repeated F761 deficiency was cited after surveyors observed an expired emergency kit and a thermometer reading 52 degrees Fahrenheit in medication rooms. The facility had previously been cited for improper medication storage, and the DON/QA stated the QAPI committee meets monthly and reviewed pharmacy reports, while a PIP was started on medication storage, expiration dates, and the emergency narcotic kit.
A facility conducted a trial removal of restraints for a resident without a physician's order. The resident, diagnosed with cerebral infarction, used a soft safety belt in a wheelchair to prevent falls. The trial was done to assess fall risk changes, but the physician was informed only after completion. The MDS coordinator did not code the restraint due to the trial, and the care plan lacked documentation of the trial. The ADON noted the absence of a specific quality of care policy.
A resident was found with four disposable shaving razors on their nightstand, contrary to the facility's policy that prohibits residents from keeping razors in their rooms. The resident, who was independent in personal hygiene and had no cognitive impairment, stated that staff provided the razors. The facility's policy requires razors to be given by CNAs and disposed of in a sharps container after use, which was not followed in this instance.
A resident with a physician's order for continuous oxygen was observed without oxygen in progress, despite a care plan indicating the need for continuous humidified oxygen due to respiratory issues. Staff interviews revealed a lack of awareness and communication about the resident's oxygen needs, with a registered nurse noting the resident's confusion led to the removal of the nasal cannula, which was not reported as the resident remained stable.
The facility failed to properly store medications, with pills, eye drops, ointments, and nasal sprays found at the bedside of four residents, and an expired eye drop on a medication cart. The ADON confirmed that residents are not allowed to keep medications in their rooms, and the facility's protocol requires nurses to remove any medications found and educate residents and their families. Staff members were unaware of the expiration date of medications on the cart and failed to ensure proper storage.
The facility failed to follow infection control protocols in the laundry room, as lint traps in the dryers were not cleaned as required. The lint log showed inaccurate entries, with staff signing for times when they were not present, leading to improper record-keeping and infection control lapses.
Improper Medication Storage in Two Medication Rooms
Penalty
Summary
Drugs and biologicals were not properly stored in two medication rooms. In the North Medication Room, observation on 06/02/2026 at 9:41 AM revealed an expired emergency drug kit with an expiration date of 12/25. Staff A, the Unit Manager, stated that unit managers are responsible for checking for expired medications and supplies in the medication room. In the South Medication Room, the refrigerator temperature log signed on 06/02/2026 documented 38 degrees Fahrenheit, but the refrigerator contained insulin and the thermometer inside the refrigerator indicated 52 degrees Fahrenheit. During interview, the DON stated the refrigerators had been defrosted overnight because the freezers had ice in them and that the refrigerators had been placed back on that morning, but the thermometer had not regulated. A later observation still showed the thermometer at 52 degrees Fahrenheit. The facility policy required refrigerated medications to be stored at 36-46 degrees Fahrenheit and for malfunctioning refrigerators to be promptly reported for emergency repair.
Food Storage and Dietary Hygiene Deficiencies
Penalty
Summary
Food was not consistently stored, prepared, distributed, and served in a sanitary manner in the kitchen and nourishment rooms. During observations, surveyors found an opened container of apple juice in a reach-in refrigerator with an open date of 04/10/2026, a clear plastic pitcher containing coffee with no preparation or discard date and a printed sticker reading SUN/[NAME]/[NAME], an undated bag of bread in dry storage, unlabeled packaged apple slices in the North Nourishment Room refrigerator, and an uncovered, unlabeled, undated plastic cup containing a loose unidentified white granulated substance stored on top of the ice machine in the South Nourishment Room. The facility policy required prepared food brought in by family or visitors to be labeled with contents and date, refrigerated when appropriate, and discarded if not consumed within three days. Dietary staff were also observed preparing food without required beard guards. Three dietary aides were engaged in food preparation activities in the kitchen without beard restraints, despite the facility's Dietary Sanitation and Hygiene Policy stating that hair restraints, including beard restraints, shall be worn at all times in food preparation and service areas to prevent food contamination. One dietary aide confirmed he was not wearing a beard guard and stated that staff with beards are required to wear one every time they enter the kitchen. The Kitchen Manager stated the beard guards had not arrived and that employees were using medical procedure masks because they found them more comfortable, while also stating the facility's policy allowed a hairnet if beard guards were unavailable.
Repeated Medication Storage Deficiency and QAPI Review
Penalty
Summary
The facility failed to demonstrate or implement an effective plan of action to correct a repeated quality deficiency related to F761, Label/Store Drugs and Biologicals. During a recertification survey ending [DATE], surveyors observed an expired emergency kit and a thermometer reading 52 degrees Fahrenheit in medication rooms. The facility had 117 residents at the time of the survey. Record review showed the facility had previously been cited for the same F761 deficiency during a recertification survey conducted on [DATE] through [DATE], when it failed to ensure proper storage of medications. The facility's undated QAPI plan states that its program includes participation from multiple disciplines and uses internal and external data to monitor and improve outcomes. During an interview on [DATE] at 4:12 PM, the Administrator/QA stated that the QAPI committee meets monthly and that, on the first day of survey, a Performance Improvement Plan was started focusing on medication storage, expiration dates, and ensuring the emergency narcotic kit was not expired. The Administrator/QA also stated the last QAPI meeting focused on falls, return to hospital, dietary programs, hospital rates, ongoing programs not brought into compliance, and pharmacy reports with pharmacy recommendations.
Unauthorized Restraint Removal Trial Conducted Without Physician's Order
Penalty
Summary
The facility failed to implement quality of care and service related to a trial for the removal of restraints for one resident. The deficiency was identified when a trial removal of restraints was initiated without a physician's order for a resident who had been using a soft safety belt while in a wheelchair to maintain seating position and minimize the risk of falling. The resident, who had a diagnosis of cerebral infarction, was observed without the restraint during a trial period, but there was no physician's order to authorize this trial. The resident's care plan included the use of the safety belt, and the trial was conducted to assess if the resident's risk for falls had changed. The MDS coordinator did not code the restraint in the Quarterly MDS because the resident was observed without the belt during the trial period. However, the trial was conducted without a stop date for the existing order of the safety belt, and the physician was only informed after the trial was completed. The Assistant Director of Nursing acknowledged that the doctor should have been notified and that the care plan did not reflect the trial. The facility's policy related to restraints and quality of care was not specific, and there was no specific policy for quality of care.
Failure to Adhere to Safety Policy Regarding Shaving Razors
Penalty
Summary
The facility failed to provide a safe environment for a resident, identified as Resident #46, by allowing the presence of four disposable shaving razors on the resident's nightstand. This was observed during a survey on 11/18/24. Resident #46, who was awake and alert, stated that they shave themselves and that the staff provides them with the razors. According to the facility's policy, residents are not permitted to keep razors in their rooms for safety reasons. The policy requires that razors be given to residents by Certified Nursing Assistants (CNAs) when needed and disposed of in a sharps container after use. However, this policy was not followed in the case of Resident #46. Resident #46 was admitted with a diagnosis of Angina Pectoris and had a Brief Interview for Mental Status score indicating no cognitive impairment. The resident was independent with personal hygiene, including shaving, and had a care plan addressing hoarding behavior. Despite this, the facility's staff, including a Registered Nurse (RN) and the Director of Nursing (DON), confirmed that razors should not be kept in residents' rooms. The presence of razors in Resident #46's room indicates a lapse in adherence to the facility's safety precautions and procedures, as outlined in their policy.
Failure to Administer Prescribed Oxygen
Penalty
Summary
The facility failed to administer oxygen as prescribed for a resident, identified as Resident #83, who was observed without oxygen in progress despite having a physician's order for continuous oxygen at a rate of two liters per minute. Observations included the resident lying in bed with the nasal cannula placed on a pillow and participating in activities without oxygen. The resident's care plan indicated a need for continuous humidified oxygen via nasal cannula due to altered respiratory status and difficulty breathing, with a goal to prevent signs or symptoms of poor oxygen absorption. Interviews with staff revealed a lack of awareness and communication regarding the resident's need for continuous oxygen. A registered nurse noted that the resident often removed the nasal cannula due to confusion but did not report these incidents as the resident remained stable. A certified nursing assistant was unaware of the requirement for continuous oxygen use. The Assistant Director of Nursing stated that residents with continuous oxygen orders should not be without it except during personal care, and any removal of the nasal cannula should be documented and reported to a doctor. The facility's policy on oxygen therapy required starting the oxygen flow at the prescribed rate and ensuring the delivery device was on the resident.
Medication Storage Deficiency
Penalty
Summary
The facility failed to properly store medications for four residents and one medication cart, as observed during a recertification survey. Medications, including pills, eye drops, ointments, and nasal sprays, were found at the bedside of four residents. Additionally, an expired Moxifloxacin eye drop was found on one of the medication carts. The Assistant Director of Nursing (ADON) confirmed that residents are not allowed to keep medications in their rooms, and the facility's protocol requires nurses to remove any medications found and educate residents and their families. The surveyor's observations revealed that the facility's staff did not adhere to the established protocols for medication storage. Staff members, including a Registered Nurse (RN), were unaware of the expiration date of medications on the cart and failed to ensure that medications were stored securely and properly. The Director of Nursing (DON) stated that medications should be kept in locked medication rooms and carts, and nurses are responsible for checking for expired medications and ensuring that no medications are left at residents' bedsides.
Infection Control Lapse in Laundry Room
Penalty
Summary
The facility failed to adhere to infection control protocols in the laundry room, as observed during a survey. The surveyor noted that the lint traps in the laundry room's dryers were not cleaned as required. The lint log, which is supposed to be signed every two hours by the laundry staff, indicated that the traps were last cleaned at 7:00 AM on the day of the survey. However, upon inspection, both lint traps were found to be full of lint, suggesting that they had not been cleaned as per the schedule. Further investigation revealed discrepancies in the logging process. The laundry staff, who start their shift at 6:00 AM, were found to be signing the log for 5:00 AM, a time when no staff were present in the laundry room. This was confirmed by the Maintenance and Housekeeping Director, who acknowledged that the staff had been signing for 5:00 AM due to using an outdated log sheet. This practice led to inaccurate record-keeping and a failure to maintain proper infection control measures in the laundry room.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kendall
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palace At Kendall Nursing And Rehabilitation Cente | 2.8 mi | ★★★★★ | 6 | 0 |
| Harmony Health Center | 4.1 mi | ★★★★★ | 0 | 0 |
| Coral Reef Subacute Care Center Llc | 5.4 mi | ★★★★★ | 1 | 0 |
| South Dade Nursing And Rehabilitation Center | 6.2 mi | ★★★★★ | 5 | 0 |
| St Annes Nursing Center, St Annes Residence Inc | 6.6 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.